Individual
MRS. SHERRY LAZENBY MULLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
54 LAZENBY RD, PETAL, MS 39465-8354
(601) 545-2103
Mailing address
54 LAZENBY RD, PETAL, MS 39465-8354
(601) 545-2103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1027
MS
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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